Columbus Suboxone Doctors LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COLUMBUS SUBOXONE DOCTORS LLC

Practice address

3225 Sullivant Ave
Columbus, OH 43204-1837

Phone

(614) 655-8956

Fax

(614) 748-0569

NPI assigned

Mar 11, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Douglas LauriaNPI 1336736776

Title

Administrator

Phone

(614) 655-8956

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenifer Eilers

  • Psychiatric/Mental Health Nurse Practitioner
  • Dublin, OH
  • NPI 1699497529
  Medicare reassignment Care Compare group NPD
• Mark Willard Stanley, D.O.

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1528038494
  Medicare reassignment Care Compare group NPD
• Kimberly Lynette Glenn, CNP

  • Family Nurse Practitioner
  • Mount Vernon, OH
  • NPI 1992176606
  Medicare reassignment Care Compare group
• Ronna Holston-Kiluvia, APRN, PMHNP, BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
  • NPI 1235837899
  Medicare reassignment Care Compare group
• Douglas Lauria, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, OH
  • NPI 1336736776
  NPD (past) Authorized official
• Jannelle L Cummings

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, OH
  • NPI 1679455604
  NPD
• Lara Leah Wheeler, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, OH
  • NPI 1295506715
  NPD
• Michael M Alexander, DO

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1679524789
  NPD (past)
• Susan Weston Horvath, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
  • NPI 1689706459
  NPD (past)
• Jeffrey Lauria, MS, PHD

  • Case Manager/Care Coordinator
  • Columbus, OH
  • NPI 1265026397
  NPD (past)
• Sissy McCloy

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, OH
  • NPI 1578217485
  NPD (past)
• Jonah Dean Rogers Jr.

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, OH
  • NPI 1053247205
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1760940696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 SULLIVANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432041837",
            "telephone_number": "614-655-8956",
            "fax_number": "614-748-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 SULLIVANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432041837",
            "telephone_number": "614-655-8956",
            "fax_number": "614-748-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS SUBOXONE DOCTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "LAURIA",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-655-8956"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Columbus Suboxone Doctors LLC
• Columbus Suboxone Doctors LLC
• Columbus Suburban Home Access
• Columbus Surgical Specialists Inc
• Columbus Transportation

• Family Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.